How to Order a LifeVest

To order a LifeVest, you have the choice of using the Medical Order form, placing a chart order, or placing a verbal order. In each case, documentation must be provided to support the diagnosis and medical necessity of the LifeVest. Specific instructions are provided below.

To place a Medical Order

Complete the Medical Order and fax it to ZOLL. Click on the link below to download the form and instructions.